Senior Full Stack Engineer

Summary

Join a pre-launch tech company, backed by Atomic VC, as a Senior Full Stack Engineer. You will be a foundational member of the engineering team, taking on technical leadership and architecture ownership. This role involves building a scalable platform supporting seniors navigating specialty care, setting the technical direction, and shaping the early engineering culture. You will work directly with pilot partners, clinicians, and patients to build technical solutions. This is an opportunity to define the future of a mission-driven startup and solve meaningful problems with immediate real-world impact. The role offers a competitive salary and early-stage equity.

Requirements

• 6+ years of professional software development experience
• Expertise in backend development, system design, and distributed systems
• Strong proficiency in TypeScript and either Rust or Python
• Experience working with cloud platforms (AWS preferred) and Infrastructure as Code (Pulumi a plus)
• Deep understanding of databases (PostgreSQL preferred) and data modeling
• Strong problem-solving, debugging, and analytical skills
• A mentorship mindset —you enjoy helping other engineers grow

Responsibilities

• Develop a deep understanding of our vision, the complexities of our business model, and the challenges faced by our patients and care team
• Work directly with our pilot partners, clinicians, and patients to build elegant technical solutions that address their needs
• Define and drive both the medium and long-term technical strategy, balancing business needs, user feedback, and startup agility
• Own the architecture across the stack (backend, frontend, and infrastructure), ensuring scalability, reliability, and flexibility
• Lead the development and launch of our minimum viable product (MVP), with a strong emphasis on backend systems
• Establish a data engineering strategy to unify disparate data sources into an analysis-ready state
• Make foundational improvements to our infrastructure and lay out the medium-term technical roadmap
• Continue to develop and Identify practical applications and use cases for LLMs and related AI advancements to enhance our platform

Preferred Qualifications

• Experience in early-stage startups (Pre-seed, Seed, or Series A)
• Familiarity with healthcare data standards (HL7, FHIR, claims data)
• Experience working in regulated environments (security, compliance, PHI)
• Hands-on experience with Rust in production
• Exposure to Machine Learning models in production
• Collaborating with Product as a thought partner to develop innovative solutions from ambiguous requirements
• Happen to live in Austin, TX

Benefits

• $160,000 - $200,000 a year
• Early stage equity